I don't remember for sure but I think we learned assessments around the last of the first semester. We were, however, quizzed like no tomorrow with medications and medication rights. This lead into the 3 checks for each med before administration. We also got our patient's information the day before clinical and had to write med cards on all their meds, plus care plans
, lab values and possibilities for the value not being WDL. We also knew our instructors before clinicals and they were fully aware of the skills we knew and what we needed to be checked off on in the clinical setting. We were not allowed to do anything without our instructors and did not get nursing preceptors until that the last semester, or something to that nature.
I have noticed now that the students that come to the facility I work at, hardly ever have their nursing instructor present and it us up to the staff the student nurses are assigned to, to include the nurses in the patient's activity etc that they have been assigned to. And then we have to fill out an eval on the SN that day.
My advice, or what I would do if it were me in the situation you are in: see if your clinical group can meet with the lecture instructor after class or something, there is power in numbers. When talking to the lecture instructor, be professional and factual and inform of your day and the expectations the clinical instructor had, at this point I would inquire about a clinical checklist, something that has the skills you have been checked off on and need to be checked off on in the clinical setting. See what is suggested to do on your end to get the most out of the clinical experience that you can, this is the money that you are paying for this education
When going to the unit and getting your assignment see who the nurse going off is and the nurse you will be working with, introduce yourself and let the nurse know what you need to try to do that day in relation to your skills. If you need to leave the unit or whatever, be courtious and let the nurse know. I personally will not go and hunt a student assigned to me- I want them to have the best possible experience and do or see things that they are allowed to, but I am not playing hide and seek, I am there to take care of the patient.
Offer to help the nurse in whatever it is that you are able. And please, please, please ask the nurse taking care of that patient, before getting the patient food or water, getting the patient up, or bathing. There could be things that need to be down or precautions to take before tasks of that nature can be completed.
I hope your next clinical experience is more productive and conducive to learning.